AUTHORIZATION

I, the undersigned, authorize National Taiwan University of Science and Technology to underta e a verification of the infor!ation I have "rovided and I authorize all cor"orations, co!"anies, educational institutions, "ersons and for!er e!"loyers to release infor!ation they !ay have a#out !e, and release the! fro! any lia#ility for doing so$

Signature (Full Name) Print Full Name Social Security Number (if available) University (Graduate School) Student ID Number (if applicable)

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